3H4-14455-83269
4 vaccinations
7 coded responses
35 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
-
2021-01-18
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: LightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-02-01
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: GoodFree text: Oval shaped rash that is irxhy sometime at vaccination siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
-
2021-02-17
Dose 2 — Moderna
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Few sharp pains in head last night. Last two days very fatiqued, spwnt most of Feb 18th in bed with fever and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Photophobia — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Eyes have been very sensitive to bright light.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Pruritus, Rash, Rash papular — Feeling: GoodFree text: Itchy slightly raised Rash on right leg feom ankle to knwe, then several days later same radh on left leg. Then same thing happened to my hus and. Could have been bug bites, or not....MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-01
Dose 3 — Pfizer-BioNTech
- 2022-02-17
-
2022-04-25
Dose 4 — Moderna
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-28
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-31
-
2022-06-06
Survey response — day 42, dose 4MedDRA: Rash macular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Broken blood vessel splotches on leg and pain i. Ankle and tail boneMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-07
Call successfulNot applicable - Accidental Reporting
- 2022-07-27
- 2022-10-24
-
2023-04-27
Survey response — 12 months, dose 4MedDRA: Haemoglobin increased — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-27
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-25 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Lightheadedness
Release 3 — day 14, dose 1
Symptoms: Oval shaped rash that is irxhy sometime at vaccination site
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Few sharp pains in head last night. Last two days very fatiqued, spwnt most of Feb 18th in bed with fever and chills
Systemic reaction (other): Eyes have been very sensitive to bright light.
Release 9 — 6 months, dose 2
Symptoms: Itchy slightly raised Rash on right leg feom ankle to knwe, then several days later same radh on left leg. Then same thing happened to my hus and. Could have been bug bites, or not....
Release 11 — day 42, dose 4
Symptoms: Broken blood vessel splotches on leg and pain i. Ankle and tail bone
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Haemoglobin increased | · | · | ✓ |
| SD | Haemoglobin increased | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Rash macular | · | · | ✓ |
| SD | Rash papular | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release